Many situations in public service delivery are characterized by uncertainty about the potential negative consequences following decisions. These risky situations make the behavior of frontline professionals particularly important. But what shapes the risk perception and subsequent behavior of frontline professionals in risky situations? This article explores the idea that organizational culture provides part of the answer. To examine this, a comprehensive qualitative study with participant observations and interviews at five public hospital wards was conducted. The findings demonstrate the importance of organizational culture on risk perception and behavior in risky situations. Basic cultural assumptions related to professional discussion, administering medicine, grading of adverse events, and prioritizing follow-up activities matter to behavior in risky situations. In organizational cultures with high levels of trust and dialogue about decision-making, the health professionals rely on each other and ask for second opinions, when making decisions in risky situations. Conversely, in organizational cultures with little trust and professional discussion, the health professionals are less likely to ask for second opinions and follow up on risky situations, which increases the possibility of unintended, negative consequences. In this way, organizational culture can be a driver of risk-reducing and risk-seeking behavior among frontline professionals.

公共服务提供中的许多情况的特征在于决策后可能产生的负面后果的不确定性。这些危险情况使一线专业人员的行为尤为重要。但是，在危险情况下，前线专业人员的风险感知和后续行为会如何塑造？本文探讨组织文化提供部分答案的想法。为了检验这一点，在五个公立医院病房中进行了一项全面的定性研究，包括参与者的观察和访谈。研究结果证明了组织文化对风险情况下的风险感知和行为的重要性。与专业讨论，药物管理，不良事件分级，并确定后续活动的优先级与危险情况下的行为息息相关。在对决策有高度信任和对话的组织文化中，卫生专业人员在有风险的情况下进行决策时，相互依赖并征求第二意见。相反，在缺乏信任和专业讨论的组织文化中，卫生专业人员不太可能要求第二意见并就风险情况采取后续行动，这增加了意外，负面后果的可能性。这样，组织文化可以成为一线专业人员降低风险和寻求风险行为的驱动力。在有风险的情况下做出决策时。相反，在缺乏信任和专业讨论的组织文化中，卫生专业人员不太可能要求第二意见并就风险情况采取后续行动，这增加了意外，负面后果的可能性。这样，组织文化可以成为一线专业人员降低风险和寻求风险行为的驱动力。在危险情况下做出决定时。相反，在缺乏信任和专业讨论的组织文化中，卫生专业人员不太可能寻求第二意见并就风险情况采取后续行动，这增加了意外，负面后果的可能性。这样，组织文化可以成为一线专业人员降低风险和寻求风险行为的驱动力。